牵引加手法治疗Ⅰ°退行性腰椎滑脱症的临床研究

Traction and technique in the treatment of Ⅰ° degenerative lumbar olisthe disease clinical research

目的：研究牵引加手法治疗Ⅰ°退行性腰椎滑脱症的临床效果，为临床治疗提供方案选择。方法：回顾性研究我院2014年3月～2016年6月收治的Ⅰ°退行性腰椎滑脱症患者80例临床资料，通过随机分组，每组40例，观察组采用牵引加手法治疗；对照组采用药物治疗。观察两种方法治疗的症状改善程度，通过JOA评分分数，评价两组治疗效果。结果：观察组与对照组治疗后比较，观察组疗效仡于对照组，差异有统计学意义（P〈0．05），提示牵引加手法治疗不仅在缓解疼痛方面而且在提高日常活动能力方面具有优势。结论：牵引加手法治疗疗效确切，无副作用，避免了药物治疗在治疗中存在的不良反应，能够进一步提高腰部活动功能及生活能力。

Objective： Study of traction and technique for treatment of Ⅰ° degenerative lumbar olisthe disease clinical effect, provide options for clinical treatment. Methods： Retrospective study from March 2014 to June 2016 treated 80 patients with degenerative lumbar spine disease, By random grouping, 40 cases in each group, observation group was treated by traction and technique; control group used drugs. Observation of two kinds of method to treat symptoms improvement, by JOA score points, evaluation of the effect of two groups of treatment. Results： Observation group compared with control group after treatment, the curative effect is better than that of control group, observation group statistically significant （P〈0.05）. Prompt traction and manipulation treatment not only in terms of pain relief and more advantages in improving daily activities.Conclusion： Traction and manipu- lation treatment curative effect, no side effect, avoids the adverse drug reactions in drug therapy in the treatment of the problem, can further improve the waist activity function and life skills.